Wildsands Petcare & Training - Registration forms - Dog Boarding

Name

Address / Postal Code

Phone number(s) / Email address

# of dogs boarding / Name(s)

AGE:

Breed:

Spayed / Neutered

Spayed
Neutered

How did you hear about us?

Please tell us a bit about your dog / any concerns

Feeding instructions

Veterinary Clinic / Phone #

Contact info where staying:

Emergancy contact name / Phone #

Do we have permissioini to post your pets photo

Yes
No

Drop off date time / Pick up date Time:

Is anyone else authorized to pick up your dog

Last vaccine date / Bordatella

Parasite prevention: Date given / Brand: Must not expire while boarding

In case of injury or illness, I authorize Wildsands Petcare to do the following:

Take my pet to my own vet for treatment
Take my pet to the closest vet for treatment
I authorize up to $ ___________ and will pay said cost on return

By signing this form the owner(s) agree to the terms and have read the waiver listed. Wildsands Petcare has the right to refuse any pet. A signature may also be required at time of drop off.

WAIVER ASSUMPTION OF RISK AND AGREEMENT TO HOLD HARMLESS By signing above you aggree to the following terms I understand that boarding my dog is not without risk. Some of the dogs that I(we) will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest of care. I hereby waive and release Sandy Braunwarth, Wildsands, all assistants, or agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically , but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while my dog is being boarded or while on the training / daycare grounds or the surrounding area thereto. In consideration of and as inducemet to the acceptance of my application for boarding, I hereby agree to indemnify and hold harmless this facility, owner, trainer, assistants and any agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session or function of the class or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own. Vaccination Policy: Vaccinations must be up to date . A copy of your dogs last wellness exam and vaccination history is required at drop off.

Vaccination Policy: Vaccinations must be up to date . A copy of your dogs last wellness exam and vaccination history is required at drop off. Core vaccines: Parvo Virus, Canine Distemper and Adenovirus , BORDATELLA

E-Signature